Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Facility		$89.13	$89.13	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $107.15	Professional		$53.70	$75.86	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $194.98	Facility		$158.49	$169.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $114.82	Facility		$97.72	$97.72	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $97.72	Professional		$70.79	$70.79	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $239.88	Professional		$138.04	$138.04	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $89.13	Facility		$36.31	$77.62	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $138.04	Professional		$58.88	$83.18	$138.04
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $223.87	Facility		$141.25	$141.25	$223.87